Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Laurie Fairall-Rueter, LLC

Organization Clinical Psychologist · NPI 1669795761

Dr Laurie Fairall-Rueter, LLC is a Clinical Psychologist in Ponte Vedra Beach, Florida. Licensed in Florida, Georgia and Texas. Registered with an NPI since 2010.

Licensed in
FL, GA, TX
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 Marsh Landing Blvd Ste 1
Ponte Vedra Beach, FL 32082-1287
Phone: (904) 463-2284
Fax: (904) 543-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 7675 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 36593 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY003739 (GA)

Record details

NPI number1669795761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Fairall-Rueter — Licensed Psychologist · (904) 463-2284
Other names Laurie Fairall-Rueter
NPI enumeratedMarch 4, 2010
Last updated in NPPESApril 17, 2014
Mailing address4400 Marsh Landing Blvd, Suite 1, Ponte Vedra Beach, FL 32082-1287

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